Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $281.84 / $645.65	Facility		$158.49	$281.84	$645.65
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $52.48 / $91.20	Facility	26	$25.70	$52.48	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $107.15 / $436.52	Professional		$67.61	$107.15	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $35.48 / $85.11	Professional	26	$23.99	$35.48	$85.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $81.28 / $186.21	Professional	TC	$50.12	$81.28	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $107.15 / $158.49	Professional		$95.50	$107.15	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $52.48	Professional	26	$40.74	$40.74	$52.48
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,248.07 / $6,606.93	Facility		$5,011.87	$5,248.07	$6,606.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $158.49	Professional		$123.03	$123.03	$158.49
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $8,511.38 / $77,624.71	Facility		$323.59	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $154.88 / $165.96	Professional		$123.03	$154.88	$165.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $39.81 / $51.29	Professional	26	$26.30	$39.81	$51.29
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $100.00 / $147.91	Professional	TC	$83.18	$100.00	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $208.93	Professional		$83.18	$114.82	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.88 / $51.29	Professional	26	$21.88	$33.88	$51.29
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $79.43 / $158.49	Professional	TC	$53.70	$79.43	$158.49
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $44.67	Professional	26	$37.15	$37.15	$44.67
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $138.04 / $162.18	Professional	TC	$138.04	$138.04	$162.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $147.91 / $199.53	Professional		$67.61	$147.91	$199.53
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $36.31 / $53.70	Professional	26	$23.99	$36.31	$53.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $109.65 / $151.36	Professional	TC	$40.74	$109.65	$151.36
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $602.56	Facility		$257.04	$363.08	$602.56
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $30.20	Professional	26	$26.30	$26.30	$30.20
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $2,454.71 / $5,248.07	Facility		$1,174.90	$2,454.71	$5,248.07
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $158.49	Professional		$123.03	$123.03	$158.49
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $177.83 / $354.81	Facility		$107.15	$177.83	$354.81
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $39.81 / $91.20	Facility	26	$25.12	$39.81	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $117.49 / $251.19	Professional		$75.86	$117.49	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $29.51 / $61.66	Professional	26	$22.91	$29.51	$61.66
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $91.20 / $190.55	Professional	TC	$51.29	$91.20	$190.55
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $562.34 / $5,754.40	Facility		$446.68	$562.34	$5,754.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $186.21 / $218.78	Professional		$102.33	$186.21	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $70.79 / $112.20	Facility		$69.18	$70.79	$112.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $27.54 / $27.54	Facility	26	$26.30	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $70.79 / $309.03	Professional		$20.42	$70.79	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.30 / $27.54	Professional	26	$25.70	$26.30	$27.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $85.11 / $93.33	Professional	TC	$44.67	$85.11	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $190.55	Professional		$72.44	$104.71	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $28.84 / $52.48	Professional	26	$20.89	$28.84	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $75.86 / $141.25	Professional	TC	$50.12	$75.86	$141.25

Pennsylvania rates for HCPCS 77002